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doi: 10.1002/art.34453 11 PooleAR

Some users lose more, many lose less, and a significant portion report no meaningful weight loss

The most common warning signs are: Fatigue Dizziness Weakness Nausea Vomiting Diarrhea Pale or yellowish skin Mood changes (depressed or irritable) Sore mouth and/or a swollen tongue Numbness and tingling in the extremities Difficulty walking or speaking like normal Memory impairment and/or forgetfulness Changes in cognition Diagnosis and treatment Because symptoms are not always present, providers usually choose a variety of blood tests to check for a B12 deficiency

Kalogeris et al., 2014)

Its mechanism involves acting as a selective agonist for the ghrelin receptor, thereby inducing the release of growth hormone